骨质疏松与腰椎管狭窄症的相关性分析

比较性的探讨骨质疏松症与腰椎管狭窄症的相关性.用骨密度仪对28例腰椎管狭窄症患者及20例无腰椎管狭窄症者进行检测,并进行影像学分析.结果显示两组间骨质疏松的发生率有显著差异(P＜0.05),腰椎管狭窄症患者骨质疏松的发生率高于正常人.表明骨质疏松与腰椎管狭窄症有密切的相关性.     

格列吡嗪控释片治疗继发性磺脲类降糖药失效2型糖尿病的疗效

目的 :观察格列吡嗪控释片治疗继发性磺脲类降糖药失效 2型糖尿病的疗效。方法 :选取继发性磺脲类降糖药失效的 2型糖尿病患者 6 4例 ,随机分为 2组 ,各 32例。治疗组予格列吡嗪控释片治疗 ,对照组予格列吡嗪速效片治疗 ,观察 8wk(治疗组分成 4wk剂量调整期 ,4wk维持期 )。治疗前后行 2次口服糖耐量试验 (OGTT)和胰岛素释放试验 ,计算胰岛素释放指数 (IRG)和胰岛素敏感指数 (ISI) ;比较 2组治疗前后血糖 ,血胰岛素 ,IRG ,ISI和临床疗效。结果 :与治疗前比较 ,治疗组治疗后血糖水平下降 ,ISI增高 ,P <0 .0 1;但胰岛素水平及IRG与服药前无显著性差异。对照组各指标治疗前后均无显著性差异。治疗组总有效率 (5 6 .2 % )显著高于对照组 (9.3% ) ,P <0 .0 1,且无明显不良反应发生。结论 :格列吡嗪控释片可改善继发性磺脲类降糖药失效的 2型糖尿病患者胰岛素敏感性及血糖控制 ,可作为继发性磺脲类降糖药失效患者的治疗药物     

Target nursing care on anxiety and depression in patients with gallbladder cancer during perioperative period

Background:This study retrospectively investigated the effects of target nursing care (TNC) on anxiety and depression in patients with gallbladder cancer (GBC) during the perioperative period.Methods:This retrospective study analyzed the data of 80 patients with GBC during perioperative period. These records were divided into an intervention group (n = 40) or a control group (n = 40). All 80 patient records in both groups were administered routine nursing care (RNC). The patients in the intervention group also underwent TNC. The primary outcomes were depression (measured using the Hamilton Depression Scale, HAMD) and anxiety (assessed using the Hamilton Anxiety Scale, HAMA). The secondary outcomes were quality of life (assessed using the 36-Item Short Form Health Survey, SF-36) and adverse events. We collected and analyzed the outcome data before and after treatment.Results:After treatment, patients in the intervention group showed more promising effects on depression (HAMD, P < .01) and anxiety (HAMA, P < .01) than those in the control group did. However, there were no significant differences in the quality of life before and after treatment. No TNC- or RNC-associated adverse events were reported in patient records.Conclusion:This study found that TNC was more effective than RNC in relieving depression and anxiety. Future studies should be conducted to validate the present findings.     

托毒益气养阴汤治疗肛周坏死性筋膜炎(毒盛正虚证)的临床研究

目的 观察托毒益气养阴汤治疗肛周坏死性筋膜炎(毒盛正虚证)的临床疗效.方法 将66例患者随机分为治疗组与对照组各33例,对照组采用西医常规治疗,治疗组在对照组基础上采用内服托毒益气养阴汤治疗.两组均治疗2周.结果 两组治疗后创面疼痛、病变范围、全身症状、坏死性筋膜炎实验室风险指数(LRINEC)评分及白细胞计数(WBC...     

中医心理疗法联合柴胡疏肝散与催眠术疗法治疗神经症临床比较

目的 观察中医心理疗法联合柴胡疏肝散与催眠术治疗神经症的临床疗效.方法 治疗组54例,用中医心理疗法联合柴胡疏肝散加减治疗;对照组42例,实施催眠术治疗.以SDS(抑郁自评量表)、SAS(焦虑自评量表)为疗效评定工具,将两种治疗效果进行比较分析.结果 两组临床疗效有显著差异,并且治疗组长期疗效持久、稳定.结论 中医心理疗法联合柴胡疏肝散加减治疗神经症优于对照组.     

天然牛黄、培植牛黄和鸡胆汁对大鼠足跖肿胀率及炎性组织中PGE2含量的影响

采用大鼠足跖肿胀法和紫外可见光光度法，研究了天然牛黄，胆红素含量不同的培植牛黄以及鸡胆汁对大鼠角叉菜胶性和甲醛性的足跖肿胀率和炎性组织中ＰＧＥ２含量的影响。结果表明，天然牛黄，中胆红素培植牛黄，低胆红素培植牛黄和鸡胆汁均能显著地抑制角叉菜胶和甲醛致炎后的大鼠足跖肿胀和炎性组织中的ＰＧＥ２含量。     

超声下两种颈内静脉置管法的比较

目的 超声下比较两种路径颈内静脉置管方法的准确性及并发症的发生率,寻找更安全、可靠的颈内静脉穿刺路径。方法 选择需行颈内静脉穿刺患者60例,随机分为传统中路法穿刺组(A组,n=30)与颈内静脉搏动点法穿刺组(B组,n=30)。观察颈总动脉直径(D1)、颈内静脉直径(D2)、颈总动脉和颈内静脉重叠覆盖率、穿刺路径距颈内静脉中心距离(D3)、穿刺路径距颈总动脉外侧距离(D4)及可能触及颈总动脉例数。结果 与A组比较,B组D3较小,差异有统计学意义(P<0.05);B组D4明显大于A组,差异有统计学意义(P<0.05)。结论 颈内静脉搏动点法行颈内静脉穿刺更准确,并发症发生率更低。